What is a gingivectomy and how does it work?
A gingivectomy may be performed to heal the effects of periodontal disease or to correct a gum condition involving the structures around the teeth. It is one of a few procedures that can help reverse periodontal issues.
What is a gingiva extraction?
The procedure is the total removal of a portion of gingiva (gum) from in and around a tooth or teeth in order to treat gum disease or to lengthen the height or width of a tooth or a section of teeth. It can be performed by a general dentist who has training in periodontal surgery.
Do I need a gingivectomy for gum disease?
In the case of gum disease, before the problem can get worse, a gingivectomy is a possible recommendation to treat infected areas. Get in touch to schedule an appointment, and let us know if you have any further questions about the procedure.
What are the steps involved in Gingivoplasty?
Gingivoplasty can be performed with periodontal knives, diamond burs, electrosurgery or laser. The steps involved in gingivoplasty aim at thinning the gingival tissue to achieve a tapering gingival margin. It must be noted here that clinically, most of the times, gingivectomy and gingivoplasty are performed together.
When is gingivectomy performed?
GINGIVECTOMY is the surgical removal of gingiva (i.e., gum tissue). A gingivectomy is necessary when the gums have pulled away from the teeth creating deep pockets. The pockets make it hard to clean away plaque and calculus. Gingivectomy is usually done before gum disease has damaged the bone supporting the teeth.
What are the indications of gingivectomy?
Indication for performance of the gingivectomy is the complete elimination of the periodontal pocket (gingival overgrowth/e.g. hyperplasia, subgingival caries, subgingivally located crown margins. The physiologic design of the free gingival margin by surgical means, gingivoplasty, must be taken under consideration.
Does gingivectomy remove attached gingiva?
Gingivectomy/gingivoplasty Gingivectomy is the excision of gingival tissue, usually to remove the diseased wall of a periodontal pocket (true pocket or pseudopocket). Gingivoplasty is the recontouring of the gingiva to its proper anatomical form without the reduction of periodontal pocket depth (see Chapter 20).
What is Resective periodontal surgery?
Resective periodontal surgery is a technique used for pocket elimination. The objective is to facilitate debridement of root surfaces through access.
What are contraindications of gingivectomy?
The procedure assists in decreasing gingival tissue in cases of enlargement and in altering fibrotic gingiva (Figure 4-3). However, gingivectomy is contraindicated when (1) access to osseous structure is critical or (2) gingival attachment is inadequate (minimal) or absent.
What are the types of gingivectomy?
Gingivectomy can be performed by various techniques.Surgical gingivectomy.Gingivectomy by electrosurgery.Laser gingivectomy.
What is gingivectomy access restoration?
During the gingivectomy procedure (D4212) healthy gum tissue is removed to reduce pocket depths around teeth making the area easier to access and restore or to take an impression. The gingivectomy is performed to access and restore suprabony pockets (pockets that are coronal to the bone level).
How do you make a gingivectomy?
2:235:24GINGIVECTOMY - PROCEDURE EXPLAINED IN 5 MINUTESYouTubeStart of suggested clipEnd of suggested clipSort of scalloped incision. It's going to be at an angle of 120 degrees to the tooth. Axis. We tryMoreSort of scalloped incision. It's going to be at an angle of 120 degrees to the tooth. Axis. We try to avoid doing horizontal incisions in this case because the kanto. Starts a lot kinda like balcony.
What is the difference between gingivectomy and gingivoplasty?
The two procedures, however, are slightly different. A gingivectomy refers to the removal of diseased gum tissue. A gingivoplasty procedure is typically performed to reshape otherwise healthy gum tissues. One procedure, however, is rarely performed without the other.
Which is Mucogingival surgery?
The term Mucogingival Surgery was proposed by Friedman in 1957 to indicate any surgery "designed to preserve attached gingiva, to remove frena or muscle attachment, and to increase the depth of the vestibule".
What is being removed in ostectomy?
In dentistry, ostectomy refers specifically to the removal of bone surrounding a tooth in an attempt to eliminate an adjacent periodontal pocket.
Which instructions would the patient receive following periodontal surgery?
After Periodontal Surgery: Post op instructionsDo NOT rinse, Do NOT drink through a straw, Do NOT spit.Only drink liquids or eat foods at room temperature or cooler- NOTHING hot.NO physical activity for minimum of 24-48 hours- ie: exercise.More items...
Why do you need a gingivectomy?
A gingivectomy may be performed to heal the effects of periodontal disease or to correct a gum condition involving the structures around the teeth . It is one of a few procedures that can help reverse periodontal issues.
What is the difference between gingivoplasty and gingivectomy?
A gingivoplasty is different than a gingivectomy as the former only involves a partial removal of the gums (plasty).
What is gingiva removal?
The procedure is the total removal of a portion of gingiva (gum) from in and around a tooth or teeth in order to treat gum disease or to lengthen the height or width of a tooth or a section of teeth. It can be performed by a general dentist who has training in periodontal surgery.
How are gums reattached?
The diseased tissue is trimmed and removed, the remaining gums are reattached in and around the teeth by sutures (stitches), and the area is cleaned with saline and special rinses. A local anesthetic is used to keep the patient comfortable during the procedure.
How is gingival fibromatosis removed?
Gingival fibromatosis is removed by gingivectomy, with recurrences being treated in the same fashion or by more conservative removal of local areas of hyperplasia. Improved oral hygiene will greatly diminish the risk of recurrence.11,40,43 Drug-induced gingival hyperplasia may also be treated by gingivectomy and plaque control. 39 Discontinuation of drug use often results in cessation and even regression of the gingival enlargement.
What is vestibular incision?
The vestibular incision method (mandibular frenectomy) is a surgical procedure that has been used with success. The elimination of the abnormal frenum should remain the objective of the procedure, although it is often desirable to alter the vestibular depth also. However, the frenum is the primary etiologic factor in the stripping of the gingival tissue and labial pocket formation.
What is root burial?
The root is ‘buried’ below the alveolar crest (i.e. the root is reduced in length from a coronal direction until it is entirely within bone) and a coronally repositioned flap is raised to cover the defect with periosteum. In this way, it is possible for bone to grow over the root surface ( Figure 9.30.E,F ). The pulp may be normal or root canal treatment may be necessary. This technique is valuable in the preservation of the labio-palatal width of the alveolus, which may be essential if an osseointegrated implant is required later, as it may negate the need for ridge augmentation.
Does periosteum retention always result in vestibular depth?
The periosteum retention procedure, as carried out by Bohannan, does not always result in maintenance of the desirable amount of vestibular depth. 76 The procedure is essentially the same as that described previously, except that the periosteum is retained.
What is Gingivectomy?
This is the removal of the gingiva or gum tissue. The process can be used to treat conditions like gingivitis or periodontal disease. It can also be used to remove excess gum tissue for cosmetic purposes.
Why gingivoplasty or gingivectomy?
Gingivectomy can be done if you have deep pockets between the teeth and gums due to periodontal disease. The procedure will help to relieve pain that may be caused by periodontal disease.
Expectations
The gingivectomy surgery begins with scaling and root planning to ensure that damaged gum tissue and bacteria are removed. The dentist will then apply anesthesia to numb the gums.
Who needs the gingivectomy?
You need to visit the dentist to examine the gum tissues. If the dentist finds out that you have some periodontitis symptoms, this is advanced gum disease; then you may need the gingivectomy procedure. Some of the periodontitis symptoms include loose gums that may shift from the original position, pain, bad breath, bleeding, and swollen gums.
Risks
If the procedure is not done well, it can introduce bacteria into the body. The gum tissue may be at risk of an infection if it is not handled with care. You may take antibiotics before and after the procedure if you have any condition that puts you at risk for a severe infection.
What Is Gingivectomy?
It is a procedure whereby a portion of the gums are removed from in and around a tooth or teeth. This is to treat gum disease or to lengthen the height and width of one or more of the patient’s teeth. It is performed by a periodontist with training in periodontal surgery. At Arizona Periodontal Group, this is Dr. Ariel Trujillo.
Who Is A Candidate For Gingivectomy?
If you have gum disease, Dr. Trujillo may recommend the procedure to prevent further damage.
How Gingivectomy Is Performed
The procedure takes between 30-60 minutes to perform, depending on how much of the gum tissue needs to be removed. A minor procedure involving one or several teeth will usually take a single session. Where major gum removal or reshaping is needed, several visits will be recommended, as healing will need to take place before the procedure continues.
Recovery And Aftercare
After the procedure, you will likely experience some swelling and bleeding. This is perfectly normal, but Dr. Trujillo will give you advice on how to hurry along the healing process. After a few hours, you will also feel a little pain after the anesthetic has worn off. Again, this is normal, and over-the-counter medication will help ease the pain.
Get In Touch
Have you spotted the signs of gum disease or would simply like to remove extra gums to improve your smile? If so, contact Dr. Trujillo and his team today. In the case of gum disease, before the problem can get worse, a gingivectomy is a possible recommendation to treat infected areas.
What is the procedure of gingivectomy?
At present, the technique of gingivectomy that is followed most commonly was given by Goldman HM (1951) 1. Gingivectomy means excision of the gingiva. It is a definitive surgical procedure indicated for pocket elimination in the presence of supra-bony pockets.
What are the two types of incisions made during gingivectomy?
Making incision: Two types of incisions can be made during gingivectomy: Continuous and discontinuous. In both cases, the incision is made apical to the bottom of the bleeding point, starting at the most terminal tooth.
What is the oldest surgical procedure in the field of periodontics?
It is also one of the simplest surgical procedures. However, the incision should be placed carefully during gingivectomy because a failure to place a beveled incision results in the formation of a broad plateau because of which more time is required than usual to achieve the normal gingival contour. In the upcoming chapter, we shall read about various surgical techniques to treat periodontal pockets.
What is the purpose of gingivoplasty?
Gingivoplasty. As already stated, the aim of gingivoplasty procedure is to recontour the gingiva that has lost its natural physiologic form. In contrast to gingivectomy that aims at the elimination of the supra-bony pockets, gingivoplasty aims at achieving the knife-edge gingival margins.
Why is gingivectomy difficult?
Maxillary tuberosity area: Performing gingivectomy in the maxillary tuberosity area to eliminate periodontal pockets is difficult because the tissue is abundant in this area. Furthermore, because of the limited access, it is difficult to place the external bevel incision in this area.
What is the oldest surgical procedure?
The gingivectomy is the oldest surgical approach in periodontal therapy. During the centuries, the technique has been modified. At present, the technique of gingivectomy that is followed most commonly was given by Goldman HM (1951) 1. Gingivectomy means excision of the gingiva. It is a definitive surgical procedure indicated for pocket elimination in the presence of supra-bony pockets. Gingivoplasty, on the other hand, is the reshaping of the gingiva to create physiologic gingival contours with the sole purpose of recontouring the gingiva in the absence of pockets. Gingivectomy and gingivoplasty procedures are most commonly performed together. There are three prerequisites that must exist before gingivectomy is performed 2: 1 The zone of gingiva must be wide enough so that excision of a part of it will still leave a functionally adequate zone, 2 The underlying bone must be normal or near normal. If the bone loss has occurred, it must be horizontal in nature, leaving a relatively regular crestal bone at a lower level, 3 There should not be infrabony defects or pockets.
What is the palatal aspect of the maxillary posterior teeth?
Palatal aspect of the maxillary posterior teeth: In cases where the vault of the palate is shallow, the base of the periodontal pockets may be close to the vault area. In such cases , gingivectomy may result in excessive removal of the tissue.